Medical Device Simulators

Noninvasive Blood Pressure

An oscillometric cuff records small pressure oscillations caused by each heartbeat while the cuff deflates. The cuff pressure at the largest oscillation is linked, in a simplified approach, to mean arterial pressure.

Medical Device Simulators

Synthetic measurement

Controls

Why these controls?

These sliders set a complete measurement cycle: starting cuff pressure and deflation speed, the true arterial pressure behind the synthetic envelope, pulse rate, noise, and the two teaching ratios. Change them to see the envelope peak at MAP and how fast deflation or noise disturbs the estimates.

Cuff pressure vs time
050180.030.0Time (s)Pressure (mmHg)
Filtered oscillations (deflation ramp removed)
0503.00.0Time (s)Oscillation (mmHg)
Oscillation envelope vs cuff pressure
SYS 113MAP 94DIA 79179313.00.0Cuff pressure (mmHg)Amplitude (mmHg)

Envelope: dashed = set synthetic envelope, dots = per-beat measured amplitude. Pressure axis runs high → low, in deflation order.

Simplified MAP estimate

94 mmHg

Set MAP: 93 mmHg

Teaching systolic point

113 mmHg

Amplitude = 0.55 × Amax (above MAP)

Teaching diastolic point

79 mmHg

Amplitude = 0.75 × Amax (below MAP)

Beats recorded

60

Deflation lasts 50.0 s

No reliability warnings in this synthetic run

Model

Formulas & units

Pcuff(t) = P0 − r·t  (mmHg, mmHg/s, s)

A(P) = Amax·exp(−(P − MAP)² / 2σ²)

MAPest = Pcuff at max A

SYS/DIA = Pcuff where A = k·Amax

Important

The systolic and diastolic ratios here are teaching values, not a manufacturer algorithm. Real devices estimate systolic and diastolic pressure with device-specific and usually proprietary (closed) algorithms; a fixed-ratio approach is not a universal clinical algorithm. Changing the ratio moves the points along the same envelope, which is exactly why results depend on the chosen algorithm.

Student checks

  • With zero noise and slow deflation, verify that the envelope maximum occurs at the set MAP.
  • Increase deflation rate or noise and analyse how the estimated MAP and envelope shape change.
  • Change the systolic/diastolic ratios, explain why the results change, and why clinical algorithms are device-specific.
  • In the irregular-pulse scenario, discuss which model assumption (regular beats, beat-to-beat constant amplitude) breaks down.